Peyroni cerrahisinde hasta memnuniyetine etki eden faktörler

Year 2020, Volume: 13 Issue: 3, 705 - 713, 18.09.2020

Aykut Başer , Sinan Çelen , Salih Bütün , Yusuf Özlülerden , Okan Alkış , Cihan Toktaş , Tahir Turan

https://doi.org/10.31362/patd.730400

Cited By: 1

Abstract

Özet

Amaç: Penil eğriliğin en sık nedeni olan peyroni hastalığı için hala en
etkili tedavi yöntemini cerrrahi müdahaleler oluşturmaktadır. Fonksiyonel ve
kozmetik sonuçları olan peyroni cerrahisinde hasta memnuniyetine etki eden
faktörleri araştırmayı amaçladık.

Gereç ve yöntem: 2012-2019 yılları arasında peyroni hstalığı tanısı konulmuş
ve peyroni cerrahisi önerilmiş hastaların kayıtları retrospektif olarak
incelendi. 1. Yıl kontrollerinde hastaların erektil kapasite, rezidüel /
tekrarlayan penil deformite, penil uzunluk ve potansiyel komplikasyonlar
açısından preoperatif kayıtları ile birlikte değerlendirildi ve memnuniyet
düzeyleri ölçülerek etki eden faktörler araştırıldı. Bulgular: Plikasyon
cerrahisi (Grup 1) geçiren 27 hasta, İnsizyon safen ven greft cerrahisi (Grup
2) geçiren 21 hasta saptandı. Grup 1'de hasta memnuniyet %83,33, grup 2'de %67,14
saptandı. Grup 2’de penil kısalma miktarı (2,71±1,41 cm) grup 1’e (1,14±0,91
cm) göre daha fazla gözlendi. Hastaların memnuniyetine etki eden parametreler
incelendiğinde; penis boyu kısalmasıyla (p=0,036), cerrahi öncesi
erektil disfonksiyon varlığını belirtmekle (rho-,375, p=0,009), plak
varlığıyla (p=0,002), eşlik eden komorbid hastalık varlığıyla (p<0,001),
şikayet tekrarı varlığıyla (p=0,006) hasta memnuniyeti arasında negatif
korelasyon saptandı.

Sonuç: Peyroni hastalığında cerrahi yöntemler en etkili tedavi yöntemleri
olarak önerilmektedir. Hastaların postoperatif penil kısalma ve kurvatür
rekürrensi açısından preoperatif iyi bir bilgilendirme yapılması hasta
memnuniyetlerini arttırabilir.

Keywords

Peyroni hastalığı, peyroni cerrahisi, penil kısalma, IIEF-5, IIEF-5

Supporting Institution

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Project Number

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Thanks

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Factors affecting patient satisfaction in peyroni surgery

Abstract

Abstract

Purpose: Surgical interventions are still the most effective treatment management
for peyroni disease, which is the most common cause of penile curvature. We
aimed to investigate the factors affecting patient satisfaction in peyroni surgery
with functional and cosmetic results.

Material method: The records of patients who had been diagnosed with peyroni
disease between 2012-2019 and who had been recommended peyroni surgery were
retrospectively analyzed. In the 1st year controls, the patients were evaluated
together with their preoperative records in terms of erectile capacity,
residual / recurrent penile deformity, penile length, and potential
complications, and the factors affecting the effects were investigated by
measuring their satisfaction levels.

Results: Twenty-seven patients undergoing plication surgery (Group 1), and 21
patients undergoing incision saphenous vein graft surgery (Group 2) were
identified. Patient satisfaction was 83.33% in group 1 and 67.14% in group 2.
Penile shortening amount (2.71±1.41 cm) was higher in group 2 than group 1
(1.14±0.91 cm).When the parameters affecting the satisfaction of the patients
are examined; There was a negative correlation between penis length (p=0.036),
presence of erectile dysfunction before surgery (p=0.009), presence of
plaque (p=0.002), presence of comorbid disease accompanying (p<0.001),
presence of repeat complaints (p=0.006) and patient satisfaction.

Conclusion: Surgical methods are recommended as the most effective treatment
methods in Peyroni disease. Providing a good preoperative information in terms
of postoperative penile shortening and curvature recurrence may increase
patient satisfaction.

Keywords

Peyroni disease, peyroni surgery, penile shortening, IIEF-5

Project Number

yok

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